MARY C NILLES (NPI# 1508987462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508987462 |
| Entity Type | Individual |
| Full Name | MARY C NILLES |
| Credential | ARNP |
| Practice Address |
9300 E 29th St N Ste 102 Wichita KS 67226-2182 |
| Mailing Address |
21811 W 52nd St N Andale KS 67001-9707 |
| Practice Telephone | 3166872112 |
| Practice Fax Number | 3166871260 |
| Mailing Telephone | 3167961155 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
45918 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897004 | Mary Nilles | Physical Therapist | 10180 Washington Ave, Mount Pleasant, WI 53177-1604 | 2019-12-03 |
| Street Address |
9300 E 29TH ST N STE 102 |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700710 | Michael D Bates | Obstetrics & Gynecology | 9300 E 29th St N, Ste 201, Wichita, KS 67226-2183 | 2005-06-17 |
| 1629500020 | Mid Kansas Intimate | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2017-04-03 |
| 1225422488 | Heartland Pathology Diagnostics, LLC | Clinical Medical Laboratory | 9300 E 29th St N, Wichita, KS 67226-2182 | 2015-03-26 |
| 1558763482 | Myria Oakley | Specialist/Technologist | 9300 E 29th St N, Wichita, KS 67226-2182 | 2014-09-23 |
| 1639582760 | Erik Leroy Keller | Specialist/Technologist | 9300 E 29th St N, Suite 205, Wichita, KS 67226-2182 | 2014-06-05 |
| 1750794111 | Renae Joyce Williamson | Specialist | 9300 E 29th St N, Suite 205, Wichita, KS 67226-2182 | 2014-06-03 |
| 1245579788 | Cypress Rt Associates LLC | Radiology | 9300 E 29th St N, Bldg 300 Ste 410, Wichita, KS 67226-2182 | 2013-02-04 |
| 1003160987 | Ahmad Qaddour | Internal Medicine | 9300 E 29th St N, Suite 310, Wichita, KS 67226-2182 | 2012-10-31 |
| 1639431208 | Melinda Bron | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2012-06-11 |
| 1528329364 | Taylor Lynn Bertschy | Obstetrics & Gynecology | 9300 E 29th St N, Suite 201, Wichita, KS 67226-2182 | 2012-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 1831715218 | Keyona Jo Greenwood | Nurse Practitioner | 3161 N Webb Rd Ste 200, Wichita, KS 67226-8105 | 2020-06-22 |
| 1457983934 | Carrie Lemke | Nurse Practitioner | 110 N 127th St E Apt 714, Wichita, KS 67206-2764 | 2020-02-12 |
| 1053953711 | Aurora Cheyenne Yontz | Nurse Practitioner | 8338 E 21st St N, Wichita, KS 67206-2979 | 2019-10-15 |
| 1629620117 | Ashley N Heimerman | Nurse Practitioner | 5000 S Clifton Ave # 200, Wichita, KS 67216-3408 | 2019-07-15 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.